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The New Zealand Musculoskeletal Medicine Wiki
Nau mai, haere mai! This website is a learning resource that is primarily designed for Musculoskeletal Medicine training in New Zealand. It also aims to be useful for GPs, other doctors, and medical students. It is not written for patients but they are welcome to read the articles. Click on a body region on the skeleton or a portal below to get started.
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Featured Wiki Article for 1 March 2025
Tract or Funicular Pain
Funicular or tract pain refers to pain arising from dysfunction or irritation of the longitudinal spinal cord tracts (funiculi) rather than nerve root (radicular) or musculoskeletal structures. It is essentially a central (spinal cord) pain syndrome caused by lesions of the intraspinal sensory pathways (spinothalamic tracts or dorsal columns). Clinically, funicular pain is characteristically diffuse, often burning or stabbing, and does not follow dermatomal distributions. Patients may describe unusual sensations such as a cold, aching dysesthesia in an extremity. A classic example is , an electric shock-like sensation down the spine or limbs with neck flexion, seen in cervical cord demyelination. - Read More
New and Updated Articles
- Auriculotemporal Neuralgia
- Migraine
- First Bite Syndrome
- Glossopharyngeal Neuralgia
- Geniculate Neuralgia
- Calcific Tendinitis of the Longus Colli Muscle
- Autism and Chronic Pain
- Diagnosis
- Myotomes
- Costochondritis
- Rare Diseases
- Facial Dysmorphology
- Tract or Funicular Pain
- Marfan Syndrome
- Erector Spinae Plane Block
- Dolichocephaly
- Coarse Facies
- Hypertelorism
- Triangular Facies
- Fabry Disease
Featured Open Access Journal Article for 1 November 2024
Open-Label Placebo Injection for Chronic Back Pain With Functional Neuroimaging
JAMA Psychiatry
ABSTRACT - In this randomized clinical trial of 101 adults with chronic back pain, an open-label subcutaneous placebo (saline) injection led to significant improvements in pain intensity, mood, and sleep at 1 month posttreatment compared with usual care. The placebo treatment also led to reduced somatomotor activity and increased medial prefrontal activity during evoked back pain and to increased medial prefrontal-brainstem functional connectivity during spontaneous pain.
“I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.”
— The Hippocratic Oath: Modern Version, Lasagna 1964
